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내시경 귀 수술의 안전성 및 유효성: 체계적 문헌고찰

Safety and Effectiveness of Endoscopic Ear Surgery: Systematic Review

김석현|김장락|최진욱|오승하|이병돈|임기정|전미혜|정서강
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2019.07|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제62권 제7호|pp. 367-378

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참고문헌

키워드

Conductive
주제분류이비인후과학

초록

Background and Objectives This study aims to evaluate that usefulness of the endoscopicear surgery (EES) through the systematic review. Subjects and Method We searched literatures in literature databases (MEDLINE, EMBASE,Cochrane Library, etc.). Inclusion criteria is 1) studies of patients with chronic otitismedia, otitis media with effusion, cholesteatoma, conductive hearing loss, mixed hearing lossetc. 2) studies in which a transcanal endoscopic surgery was performed; and 3) studies inwhich one or more of the appropriate medical outcomes have been reported. We excluded that1) non-human studies and pre-clinical studies; 2) non-original articles, for example, non-systematicreviews; editorial, letter and opinion pieces; 3) research not published in Korean andEnglish; and 4) grey literature. Finally, 65 articles were selected and those results were analyzed. Results The safety of the EES was reported in 61 articles. Some studies reported damagedfacial nerve or perilymph gusher but these are the complications that can arise due to the characteristicsof the disease and not due to the EES and other reported complications were ofsimilar or lower level in the intervention group rather than the microscopy group. The effectivenessof the EES was reported in 23 articles. The EES tended to show improved effects interms of graft uptake status, cholesteatoma removal, and hearing improvement although effectiveoutcomes of most studies reported no significant difference between EES and microscopicear surgery. Conclusion EES is a safe and effective technique and as it is less invasive than the microscopicear surgery.

Abstract

Background and Objectives This study aims to evaluate that usefulness of the endoscopicear surgery (EES) through the systematic review. Subjects and Method We searched literatures in literature databases (MEDLINE, EMBASE,Cochrane Library, etc.). Inclusion criteria is 1) studies of patients with chronic otitismedia, otitis media with effusion, cholesteatoma, conductive hearing loss, mixed hearing lossetc. 2) studies in which a transcanal endoscopic surgery was performed; and 3) studies inwhich one or more of the appropriate medical outcomes have been reported. We excluded that1) non-human studies and pre-clinical studies; 2) non-original articles, for example, non-systematicreviews; editorial, letter and opinion pieces; 3) research not published in Korean andEnglish; and 4) grey literature. Finally, 65 articles were selected and those results were analyzed. Results The safety of the EES was reported in 61 articles. Some studies reported damagedfacial nerve or perilymph gusher but these are the complications that can arise due to the characteristicsof the disease and not due to the EES and other reported complications were ofsimilar or lower level in the intervention group rather than the microscopy group. The effectivenessof the EES was reported in 23 articles. The EES tended to show improved effects interms of graft uptake status, cholesteatoma removal, and hearing improvement although effectiveoutcomes of most studies reported no significant difference between EES and microscopicear surgery. Conclusion EES is a safe and effective technique and as it is less invasive than the microscopicear surgery.

참고문헌 (80)

  1. Yong M, "Endoscopic ear surgery in Canada : A cross-sectional study", J Otolaryngol Head Neck Surg, 45(4), pp.1~8 (2016)
  2. Kozin ED, "Systematic review of outcomes following observational and operative endoscopic middle ear surgery", Laryngoscope, 125(5), pp.1205~1214 (2015)
  3. Khan MM, "Concept, design and development of innovative endoscope holder system for endoscopic otolaryngological surgeries", Indian J Otolaryngol Head Neck Surg, 67(2), pp.113~119 (2015)
  4. Sohn SJ, "Endoscopic tympanoplasty", Korean J Otorhinolaryngol-Head Neck Surg, 43(6), pp.598~603 (2000)
  5. Shin SO, "Endoscopic assesment of the tympanic sinus", Korean J Otorhinolaryngol-Head Neck Surg, 38(2), pp.190~194 (1995)
  6. Sohn SJ, "Endoscopic revision surgery of middle ear", Korean J Otorhinolaryngol-Head Neck Surg, 44(6), pp.595~599 (2001)
  7. 양찬주, "소아 선천성 진주종 제거 시 내시경을 이용한 수술의 유용성", 대한이비인후-두경부외과학회지, 59(3), pp.194~201 (2016), 대한이비인후과학회[DOI]
  8. Jang CH, "Endoscopic approach to tympanic sinus during tympanomastoidectomy for cholesteatoma", Korean J Otorhinolaryngol-Head Neck Surg, 44(1), pp.32~36 (2001)
  9. Nomura Y, "Effective photography in otolaryngology-head and neck surgery : endoscopic photography of the middle ear", Otolaryngol Head Neck Surg, 90(4), pp.395~398 (1982)
  10. Poe DS, "Comparison of endoscopic and surgical explorations for perilymphatic fistulas", Am J Otol, 15(6), pp.735~738 (1994)
  11. Kakehata S, "Endoscopic transtympanic tympanoplasty in the treatment of conductive hearing loss : early results", Otol Neurotol, 27(1), pp.14~19 (2006)
  12. Kakehata S, "Evaluation of attic retraction pockets by microendoscopy", Otol Neurotol, 26(5), pp.834~837 (2005)
  13. Kakehata S, "Office-based endoscopic procedure for diagnosis in conductive hearing loss cases using OtoScan laser-assisted myringotomy", Laryngoscope, 114(7), pp.1285~1289 (2004)
  14. Badr-el-Dine M, "Value of ear endoscopy in cholesteatoma surgery", Otol Neurotol, 23(5), pp.631~635 (2002)
  15. El-Meselaty K, "Endoscope affects decision making in cholesteatoma surgery", Otolaryngol Head Neck Surg, 129(5), pp.490~496 (2003)
  16. Yung MW, "The use of middle ear endoscopy: Has residual cholesteatoma been eliminated?", J Laryngol Otol, 115(12), pp.958~961 (2001)
  17. Ayache S, "Otoendoscopy in cholesteatoma surgery of the middle ear: what benefits can be expected?", Otol Neurotol, 29(8), pp.1085~1090 (2008)
  18. Presutti L, "Results of endoscopic middle ear surgery for cholesteatoma treatment : a systematic review", Acta Otorhinolaryngol Ital, 34(3), pp.153~157 (2014)
  19. Healthcare Improvement Scotland, "SIGN 50: A guideline developer's handbook", Scottish Intercollegiate Guidelines Network(SIGN), ~ (2014)
  20. Singh NK, "Comparative study of Permeatal Sandwich Tympanoplasty and Postaural Underlay Technique", J Clin Diagn Res, 10(4), pp.MC01~MC04 (2016)
  21. Kumar M, "A comparative study of endoscopic myringoplasty vs conventional myringoplasty", Otorhinolaryngology Clinics, 7(3), pp.132~137 (2015)
  22. Lade H, "Endoscopic vs microscopic myringoplasty : a different perspective", Eur Arch Otorhinolaryngol, 271(7), pp.1897~1902 (2014)
  23. Harugop AS, "A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty", Indian J Otolaryngol Head Neck Surg, 60(4), pp.298~302 (2008)
  24. Doğan S, "Endoscopic tympanoplasty : learning curve for a surgeon already trained in microscopic tympanoplasty", Eur Arch Otorhinolaryngol, 274(4), pp.1853~1858 (2017)
  25. Surmelioglu O, "Endoscopic versus microscopic stapes surgery", Auris Nasus Larynx, 44(3), pp.253~257 (2017)
  26. Daneshi A, "Totally endoscopic stapes surgery without packing : novel technique bringing most comfort to the patients", Eur Arch Otorhinolaryngol, 273(3), pp.631~634 (2016)
  27. Gaur RS, "Comparative study of microscopicassisted and endoscopic-assisted myringoplasty", Indian J Otol, 22(3), pp.177~182 (2016)
  28. Huang TY, "A comparative study of endoscopic and microscopic approach type 1 tympanoplasty for simple chronic otitis media", J Int Adv Otol, 12(1), pp.28~31 (2016)
  29. Hunter JB, "Surgical and audiologic outcomes in endoscopic stapes surgery across 4 institutions", Otolaryngol Head Neck Surg, 154(6), pp.1093~1098 (2016)
  30. Iannella G, "Endoscopic versus microscopic approach in stapes surgery: are operative times and learning curve important for making the choice?", Otol Neurotol, 37(9), pp.1350~1357 (2016)
  31. James AL, "Residual cholesteatoma after endoscope-guided surgery in children", Otol Neurotol, 37(2), pp.196~201 (2016)
  32. Sanji RR, "Retrospective evaluation of the surgical result of tympanoplasty for inactive chronic otitis media and comparison of endoscopic versus microscopic tympanoplasty", Indian J Otol, 22(3), pp.171~176 (2016)
  33. Kanona H, "Endoscopic ear surgery : a case series and first United Kingdom experience", World J Clin Cases, 3(3), pp.310~317 (2015)
  34. Marchioni D, "Endoscopic exclusive transcanal approach to the tympanic cavity cholesteatoma in pediatric patients : our experience", Int J Pediatr Otorhinolaryngol, 79(3), pp.316~322 (2015)
  35. Martellucci S, "Myringotomy and ventilation tube insertion with endoscopic or microscopic technique in adults : a pilot study", Otolaryngol Head Neck Surg, 152(5), pp.927~930 (2015)
  36. Nassif N, "Tympanic membrane perforation in children: endoscopic type I tympanoplasty, a newly technique, is it worthwhile?", Int J Pediatr Otorhinolaryngol, 79(11), pp.1860~1864 (2015)
  37. Hanna BM, "Minimally invasive functional approach for cholesteatoma surgery", Laryngoscope, 124(10), pp.2386~2392 (2014)
  38. Kojima H, "Comparison between endoscopic and microscopic stapes surgery", Laryngoscope, 124(1), pp.266~271 (2014)
  39. Raj A, "Endoscopic transcanal myringoplasty-A study", Indian J Otolaryngol Head Neck Surg, 53(1), pp.47~49 (2001)
  40. Akyigit A, "Endoscopic cartilage butterfly myringoplasty in children", Auris Nasus Larynx, 44(2), pp.152~155 (2017)
  41. Carter JM, "Endoscopic middle ear exploration in pediatric patients with conductive hearing loss", Int J Pediatr Otorhinolaryngol, 96, pp.21~24 (2017)
  42. Imai T, "The resected area of the posterior wall of the external auditory canal during transcanal endoscopic ear surgery for cholesteatoma", Auris Nasus Larynx, 44(2), pp.141~146 (2017)
  43. le Nobel GJ, "Intraoperative bleeding and the risk of residual cholesteatoma : a multivariate analysis", Otol Neurotol, 38(4), pp.529~534 (2017)
  44. Tseng CC, "Comparison of endoscopic transcanal myringoplasty and endoscopic type I tympanoplasty in repairing medium-sized tympanic perforations", Auris Nasus Larynx, 44(6), pp.672~677 (2017)
  45. Cohen MS, "Pediatric endoscopic ear surgery in clinical practice : lessons learned and early outcomes", Laryngoscope, 126(3), pp.732~738 (2016)
  46. Dursun E, "Endoscopic transcanal stapes surgery : Our technique and outcomes", Kulak Burun Bogaz Ihtis Derg, 26(4), pp.201~206 (2016)
  47. Garcia Lde B, "Transcanal endoscopic myringoplasty : a case series in a university center", Braz J Otorhinolaryngol, 82(3), pp.321~325 (2016)
  48. Marchioni D, "Stapes malformations : The contribute of the endoscopy for diagnosis and surgery", Eur Arch Otorhinolaryngol, 273(7), pp.1723~1729 (2016)
  49. Özgür A, "Endoscopic butterfly cartilage myringoplasty", Acta Otolaryngol, 136(2), pp.144~148 (2016)
  50. Terzi S, "Can use of a cold light source in endoscopic middle ear surgery cause sensorineural hearing loss?", Indian J Otol, 22(3), pp.213~216 (2016)
  51. Tseng CC, "Endoscopic transcanal myringoplasty for anterior perforations of the tympanic membrane", JAMA Otolaryngol Head Neck Surg, 142(11), pp.1088~1093 (2016)
  52. Zhu VF, "Transcanal endoscopic ear surgery for the management of congenital ossicular fixation", Otol Neurotol, 37(8), pp.1071~1076 (2016)
  53. Awad OG, "Endoscopic type 1 tympanoplasty in pediatric patients using tragal cartilage", JAMA Otolaryngol Head Neck Surg, 141(6), pp.532~538 (2015)
  54. Hatice Celik, "Endoscopic “Push-Trough” Technique Cartilage Myringoplasty in Anterior Tympanic Membrane Perforations", Clinical and Experimental Otorhinolaryngology, 8(3), pp.224~229 (2015), 대한이비인후과학회[DOI]
  55. Eren SB, "Endoscopic transcanal inlay myringoplasty : alternative approach for anterior perforations", Otolaryngol Head Neck Surg, 153(5), pp.891~893 (2015)
  56. Ito T, "Transcanal endoscopic ear surgery for pediatric population with a narrow external auditory canal", Int J Pediatr Otorhinolaryngol, 79(12), pp.2265~2269 (2015)
  57. Kobayashi T, "Efficacy and safety of transcanal endoscopic ear surgery for congenital cholesteatomas : A preliminary report", Otol Neurotol, 36(10), pp.1644~1650 (2015)
  58. Migirov L, "Transcanal microscope-assisted endoscopic myringoplasty in children", BMC Pediatr, 15, pp.32~ (2015)
  59. Migirov L, "The utility of minimally invasive transcanal endoscopic approach for removal of residual", recurrent cholesteatoma : preliminary results, 2015, pp.272(11), 3241~3246
  60. Özgür A, "Endoscopic cartilage tympanoplasty in chronic otitis media", J Laryngol Otol, 129(11), pp.1073~1077 (2015)
  61. Furukawa T, "Feasibility and advantages of transcanal endoscopic myringoplasty", Otol Neurotol, 35(4), pp.e140~5 (2014)
  62. Singh MN, "Evaluation of hearing status in pre and post-operative endoscopic type 1 tympanoplasty and its influencing factors", J Med Soc, 28, pp.166~170 (2014)
  63. Ayache S, "Cartilaginous myringoplasty : the endoscopic transcanal procedure", Eur Arch Otorhinolaryngol, 270(3), pp.853~860 (2013)
  64. Migirov L, "Endoscopic transcanal stapedotomy : how I do it", Eur Arch Otorhinolaryngol, 270(4), pp.1547~1549 (2013)
  65. Marchioni D, "Ossicular chain preservation after exclusive endoscopic transcanal tympanoplasty : preliminary experience", Otol Neurotol, 32(4), pp.626~631 (2011)
  66. Marchioni D, "Endoscopic open technique in patients with middle ear cholesteatoma", Eur Arch Otorhinolaryngol, 268(11), pp.1557~1563 (2011)
  67. Migirov L, "Exclusive endoscopic ear surgery for acquired cholesteatoma : preliminary results", Otol Neurotol, 32(3), pp.433~436 (2011)
  68. Marchioni D, "Endoscopic tympanoplasty in patients with attic retraction pockets", Laryngoscope, 120(9), pp.1847~1855 (2010)
  69. Nogueira JF Júnior, "Estapedotomia totalmente endoscópica : técnica e resultados preliminares", Braz J Otorhinolaryngol, 77(6), pp.721~727 (2011)
  70. Tarabichi M, "Endoscopic transcanal middle ear surgery", Indian J Otolaryngol Head Neck Surg, 62(1), pp.6~24 (2010)
  71. Marchioni D, "Endoscopic approach to tensor fold in patients with attic cholesteatoma", Acta Otolaryngol, 129(9), pp.946~954 (2009)
  72. Tarabichi M, "Endoscopic management of limited attic cholesteatoma", Laryngoscope, 114(7), pp.1157~1162 (2004)
  73. Ayache S, "Adipose graft : an original option in myringoplasty", Otol Neurotol, 24(2), pp.158~164 (2003)
  74. Aoki K, "Advantages of endoscopically assisted surgery for attic cholesteatoma", Diagn Ther Endosc, 7(3-4), pp.99~107 (2001)
  75. Usami S, "Endoscopic-assisted myringoplasty", ORL J Otorhinolaryngol Relat Spec, 63(5), pp.287~290 (2001)
  76. Tarabichi M, "Endoscopic management of cholesteatoma : long-term results", Otolaryngol Head Neck Surg, 122(6), pp.874~881 (2000)
  77. 김홍찬, "전음성 난청 환자에서 내시경을 이용한 시험적 고실개방술의 유용성", 대한이비인후-두경부외과학회지, 60(1), pp.7~12 (2017), 대한이비인후과학회[DOI]
  78. 최나연, "Comparison of Endoscopic Tympanoplasty to Microscopic Tympanoplasty", Clinical and Experimental Otorhinolaryngology, 10(1), pp.44~49 (2017), 대한이비인후과학회[DOI]
  79. Hunter JB, "Pediatric endoscopic cholesteatoma surgery", Otolaryngol Head Neck Surg, 154(6), pp.1121~1127 (2016)
  80. Dündar R, "Endoscopic versus microscopic approach to type 1 tympanoplasty in children", Int J Pediatr Otorhinolaryngol, 78(7), pp.1084~1089 (2014)

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